减重手术对65岁以上老年肥胖患者的安全及疗效分析

目的探讨65岁以上老年肥胖患者行减重手术的安全性及短期疗效。 方法回顾性分析2018年1月至2020年2月在安徽医科大学第二附属医院胃肠外科接受腹腔镜袖状胃切除术（LSG）的57例肥胖患者的病例资料，根据年龄分为老年组（年龄≥65岁）和非老年组（18岁≤年龄<65岁）。收集并分析所有患者基线资料、术后并发症以及术前和术后1、3、6月体重、体质量指数（BMI）、空腹血糖（FPG）、餐后2 h血糖（2hPG）、糖基化血红蛋白（HbA1c）、合并症等指标。 结果共纳入57例肥胖患者，其中老年组17例，非老年组40例。两组患者间在术前和术后3月体重、BMI、FPG、2hPG、HbA1c、合并症以及术后并发症均无明显差异（P>0.05）。老年组术后1、3、6月体重、BMI、FPG、2hPG等指标较术前明显改善（P<0.05）。 结论减重手术可能是65岁以上老年肥胖患者的一种安全且有效的治疗手段，本研究将为减重手术年龄限制问题带来新的讨论。

Analysis of the safety and efficacy of bariatric surgery for elderly obese patients over 65 years old.

ObjectiveTo explore the safety and short-term efficacy of bariatric surgery in obese patients over 65 years of age. MethodsA retrospective study of 57 obese patients who underwent bariatric surgery in the Gastrointestinal Surgery Department of the Second Affiliated Hospital of Anhui Medical University from January 2018 to February 2020 were divided into elderly group (age≥65 years old) and Non-elderly group (18 years old≤age<65 years old). Collect baseline data of all patients, postoperative complications, body weight, body mass index (BMI), fasting blood glucose (FPG), 2 hours postprandial blood glucose (2hPG), glycosylated hemoglobin (HbA1c) before, 1, 3 and 6 months after surgery ), comorbidities and other indicators. ResultsA total of 57 obese patients with diabetes were included, including 17 in the elderly group and 40 in the non-elderly group. There were no significant differences in body weight, BMI, FPG, 2hPG, HbA1c complications, and postoperative complications between the two groups before and 3 months after surgery (P>0.05). The weight, BMI, FPG, 2hPG and other indicators of the elderly group and non-elderly group were significantly improved in the first, third, sisth months after the operation (P<0.05). ConclusionsBariatric surgery may be a safe and effective treatment for obese patients over 65 years old. Therefore, this study will bring new discussions on the age limitation of bariatric surgery.